Individual
DEYAE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4555 COGNAC CV, MEMPHIS, TN 38141-7803
(901) 314-6235
(901) 205-0558
Mailing address
4555 COGNAC CV, MEMPHIS, TN 38141-7803
(901) 314-6235
(901) 205-0558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65024
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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